Christopher J Wittmann, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9102804 Issued in FL

Practice address

8146 Cerebellum Way
Suite 102
Trinity, FL 34655-1784

Phone

(727) 264-8865

Fax

(727) 608-4479

NPI assigned

Jun 7, 2006

Last updated

Aug 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: christopher.wittmann@trinitypaincenter.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Pain Center LLC

  • Interventional Pain Medicine Physician
  • Trinity, FL
  • NPI 1942525688
  Medicare reassignment
• Gulf Coast Pain Management Physicians

  • Interventional Pain Medicine Physician
  • Palm Harbor, FL
  • NPI 1881877538
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1437199486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8146 CEREBELLUM WAY",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551784",
            "telephone_number": "727-264-8865",
            "fax_number": "727-608-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8146 CEREBELLUM WAY",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551784",
            "telephone_number": "727-264-8865",
            "fax_number": "727-608-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMANN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Brian Williams, D.O.
• Thirslon Williams, LMHC
• Jason Wilson
• Casey A Winslow, PMHNP
• Leeann Wisnowski, ARNP
• Craig Robert Wolff, M.D.
• Christine M Womack, ARNP-C
• Womens Care Florida LLP
• Womens Care Florida LLP
• Janae Wood

• Surgical Physician Assistant in Trinity, FL
• Providers in Trinity, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.